Healthcare workers from the Clinical Management Unit (UGC) of Santa Fe have sent a letter to the Granada Metropolitan Health District denouncing that the reorganization of emergency and urgent care services, set to take effect on June 8, "compromises patient safety" and the "healthcare response capacity" of a Basic Health Zone covering 13 municipalities in the Metropolitan Area.
The main change, as detailed in a statement, is the "disappearance" of the type A (non-medicalized) ambulance from midnight onwards. This leaves the mobile ICU as the sole night-time medical transport resource, which will also have to cover adjacent areas. Professionals warn that if the mobile ICU is engaged in a call or hospital transfer, the only on-site team from the health center will also have to respond to emergencies, forcing the closure of the urgent care point. For urgent home dispatches, only a vehicle driven by an attendant not qualified to transport patients will remain.
The signatories question the measure in both its substance and form, noting that it was notified to the UGC Directorate on May 26, and the rest of the staff were informed via WhatsApp in the following days, with an official meeting on May 29, one day before the initial implementation scheduled for the early hours of May 30. The implementation was postponed to June 8 on the afternoon of May 29.
They consider such a significant reorganization "unacceptable" "without adequate planning or professional consensus," arguing that the area has specific characteristics such as geographical dispersion, high-density highways, proximity to the Airport, and variable response times that have not been taken into account.
Furthermore, they report that a highly specialized resource – the mobile ICU – is being allocated to functions that do not require that level of care. They point out that the current healthcare problem is already significant even before the implementation of the new measures: from 8:00 PM to midnight, the Santa Fe Health Center is left with only one healthcare team to attend to all urgent on-site demand, as the reduced-shift team finishes its activity. Concurrently, the SUAP team (mobile ICU) covers both the Santa Fe Basic Health Zone and other peripheral areas.
Therefore, the professionals request an "immediate" review of the measures, a "real evaluation" of the area's needs, the provision of three complete healthcare teams, the recovery of urgent transport resources, and the initiation of a dialogue process before future reorganizations. They have decided to hold a daily 10-minute strike at 10:30 AM outside their health centers until their demands are met.




